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Q 1/19
Score 0
The nurse has taught an education conference about antibiotics being prescribed for clients with skull fractures who have rhinorrhea and otorrhea. Which of the following statements by a nurse would indicate a correct understanding of the conference?
300
Inflammation in the brain is decreased due to ICP
Prevents infection when barrier around the brain are disrupted
Shifting fluid in the grey matter
Alteration in the production of cerebral spinal fluid.
Q 2/19
Score 0
On a neuro unit assessing a client with a GCS of 3. What findings are consistent?
300
Patient LOC assessed as x4
Urinary and fecal incontinence
decorticate posturing
Limiting self care activities until the patient has regained maximum physical functioning.
19 questions
Q.
The nurse has taught an education conference about antibiotics being prescribed for clients with skull fractures who have rhinorrhea and otorrhea. Which of the following statements by a nurse would indicate a correct understanding of the conference?
1
300 sec
Q.
On a neuro unit assessing a client with a GCS of 3. What findings are consistent?
2
300 sec
Q.
A nurse is working in a Neuro unit, caring for a client with a subarachnoid hemorrhage. What treatments should the client prepare for? (Select all that apply)
A. Surgical clipping
B. IV antihypertensive
C. Maintain the HOB at 10 degree angle
D. Putting bolt in the head (Ventriclostomy)
E. Main the patient on the left side with the head supported on a pillow.
3
300 sec
Q.
A nurse is on a stroke team, and has a client on the way to CT. What information would be a priority to obtain?
4
300 sec
Q.
What action must be done is you have a patient with a Glascow coma scale of 6 after calling the doctor?
5
300 sec
Q.
A patient with a subdural hematoma gets a neuroleptic shock. What action is best?
6
300 sec
Q.
The nurse is providing information for the family of a client who had a transient ischemic attack and is scheduled for carotid endarterectomy. Which of the following information would be appropriate for the nurse to give the family?
7
300 sec
Q.
A nurse is on the stroke team and working with colleagues to stabilize a patient brought into the hospital with stroke symptoms. What action by a CNA would require intervention by the nurse?
8
300 sec
Q.
A nurse is caring for a patient after a hemorrhagic stroke. The family of the patient wants to know about their condition, what explanation from the nurse should be included?
9
300 sec
Q.
The nurse is caring for a client who had a total knee replacement (TKR) and has been placed in a continuous passive motion (CPM) device. The client asks, what is the purpose of this machine? The nurse should explain the purpose by telling the client which of the following?
10
300 sec
Q.
A nurse is planning care in the ER for a client with an open fracture of the radius. What should be a priority that is included in the plan of care?
11
300 sec
Q.
A patient falls in a nursing home and gets a right hip fracture. What is the most important thing for the nurse to assess?
12
300 sec
Q.
A nurse is doing a genital assessment on a 22-year-old male. The nurse notices multiple cauliflower-shaped papules. What should the nurse document these as?
13
300 sec
Q.
A patient with a history of Chrons Disease an ascending colostomy bag. What finding would be a priority to follow up on?
14
300 sec
Q.
What interventions should be included for a patient with a new diagnosis of MS?
15
300 sec
Q.
A client with a new diagnosis of HIV should expect what prophylactic measure? A.Hep B B. Blood transfusion
C. Pneumococcal
D. Influenza E. Hemodialysis hourly
16
300 sec
Q.
A nurse is planning care for a client with Rheumatoid Arthritis. What nonpharmacological interventions should be included in their plan of care? (Select all that apply): A. Apply splints to inflamed joint
B. Have the patient run a mile daily
C. select clothing with a hook and loop
D. apply moist heat E. Have the patient sit for at least five hours daily
17
300 sec
Q.
You are working in a mental health unit. A patient has a verbal outburst, pacing around the unit, and appears angry. What statement is appropriate by the nurse?
18
300 sec
Q.
The nurse is assessing a client who fell in the hallway and notes the client is exhibiting an altered level of consciousness (LOC) and Battle’s sign is present. Which of the following actions would be a priority for the nurse to take?